针对男性伴侣的母乳养教育和支持干预对埃塞俄比亚中部最佳母乳养实践的影响:一个集群随机对照试验
Mulatu Abageda1,2, Belayneh Hamdela Jena3, Tefera Belachew4
1Department of Midwifery, College of Medicine and Health Science, Wachemo University, Hosanna, Ethiopia.
Maternal & child nutrition
|November 18, 2024
概括
让男性伴侣参与母乳养教育显著改善了埃塞俄比亚的最佳婴儿养实践. 与标准护理相比,这种干预措施使最佳母乳养率提高了17.5%,这表明了父亲支持的重要性.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 行为科学 行为科学
背景情况:
- 男性伴侣在家庭健康决策中具有影响力,但他们在支持母乳养方面的作用在低收入和中等收入国家未得到充分研究.
- 埃塞俄比亚,像许多类似的环境一样,对男性伴侣参与促进最佳婴儿和幼儿养实践的数据有限.
研究的目的:
- 评估哺乳教育的有效性,并支持专门针对男性伴侣的干预措施.
- 在埃塞俄比亚中部的夫妇中促进最佳的母乳养实践.
主要方法:
- 一个双臂平行集群随机对照试验,涉及408对夫妇在哈迪亚区,埃塞俄比亚中部.
- 干预组接受了有针对性的母乳养教育和支持;对照组接受了例行护理.
- 用于有效性评估的通用估计方程 (GEE) 模型.
主要成果:
- 干预组的最佳母乳养实践增加了19.5%,对照组的2%相比.
- 两组之间在最佳母乳养方面观察到17.5% (95%CI:13.8%-21.2%) 的显著差异差异.
- 干预组中的母亲生下的婴儿在6个月后获得最佳母乳养的可能性增加了38%.
结论:
- 对男性伴侣的母乳养教育和支持干预措施在改善低资源环境中的最佳母乳养实践方面是有效的.
- 将男性伴侣的参与融入母亲和儿童健康服务,对于加强母乳养推广和支持至关重要.
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